Cuyahoga Nursing Home Continue Healthcare Solutions

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

February 23, 2022 - 8 months ago

Residents Affected Severity Source/Type

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Description
F Many Potential for Harm Complaint Resident Rights Deficiencies: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E Some Potential for Harm Complaint Nutrition and Dietary Deficiencies: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E Some Potential for Harm Complaint Nutrition and Dietary Deficiencies: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E Some Potential for Harm Complaint Infection Control Deficiencies: Provide and implement an infection prevention and control program.
D Few Potential for Harm Complaint Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

February 14, 2022 - 8 months ago

Residents Affected Severity Source/Type

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Description
- - - Fine $1,316 fine

January 11, 2022 - 9 months ago

Residents Affected Severity Source/Type

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Description
- - - Fine $45,000 fine
- - - Payment Denial Payment denial for 54 days
F Many Potential for Harm Complaint Nursing and Physician Services Deficiencies: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
G Few Actual Harm Complaint Quality of Life and Care Deficiencies: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E Some Potential for Harm Complaint Nutrition and Dietary Deficiencies: Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
D Few Potential for Harm Complaint Quality of Life and Care Deficiencies: Provide appropriate treatment and care according to orders, resident's preferences and goals.
D Few Potential for Harm Complaint Quality of Life and Care Deficiencies: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D Few Potential for Harm Complaint Quality of Life and Care Deficiencies: Provide enough food/fluids to maintain a resident's health.
D Few Potential for Harm Complaint Quality of Life and Care Deficiencies: Provide safe and appropriate respiratory care for a resident when needed.
D Few Potential for Harm Complaint Infection Control Deficiencies: Provide and implement an infection prevention and control program.

November 13, 2021 - 11 months ago

Residents Affected Severity Source/Type

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Description
D Few Potential for Harm Complaint Quality of Life and Care Deficiencies: Provide care and assistance to perform activities of daily living for any resident who is unable.

September 28, 2021 - 13 months ago

Residents Affected Severity Source/Type

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Description
F Many Potential for Harm Complaint Nutrition and Dietary Deficiencies: Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F Many Potential for Harm Complaint Nutrition and Dietary Deficiencies: Ensure meals and snacks are served at times in accordance with resident's needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F Many Potential for Harm Complaint Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

July 22, 2021 - 15 months ago

Residents Affected Severity Source/Type

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Description
F Many Potential for Harm Health Inspection Environmental Deficiencies: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F Many Potential for Harm Health Inspection Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E Some Potential for Harm Health Inspection Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
C Many Potential for Minimal Harm Health Inspection Administration Deficiencies: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D Few Potential for Harm Health Inspection Resident Assessment and Care Planning Deficiencies: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D Few Potential for Harm Health Inspection Quality of Life and Care Deficiencies: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D Few Potential for Harm Health Inspection Nutrition and Dietary Deficiencies: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

July 13, 2021 - 15 months ago

Residents Affected Severity Source/Type

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Description
J Few Immediate Jeopardy Complaint Quality of Life and Care Deficiencies: Provide safe and appropriate respiratory care for a resident when needed.
F Many Potential for Harm Complaint Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D Few Potential for Harm Complaint Resident Rights Deficiencies: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D Few Potential for Harm Complaint Resident Assessment and Care Planning Deficiencies: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

June 13, 2021 - 16 months ago

Residents Affected Severity Source/Type

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Description
- - - Fine $13,000 fine
- - - Fine $35,682 fine
- - - Payment Denial Payment denial for 9 days
F Many Potential for Harm Complaint+Inspection Infection Control Deficiencies: Provide and implement an infection prevention and control program.
E Some Potential for Harm Complaint+Inspection Quality of Life and Care Deficiencies: Provide care and assistance to perform activities of daily living for any resident who is unable.

April 12, 2021 - 2 years ago

Residents Affected Severity Source/Type

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Description
D Few Potential for Harm Complaint Quality of Life and Care Deficiencies: Provide appropriate treatment and care according to orders, resident's preferences and goals.

March 9, 2021 - 2 years ago

Residents Affected Severity Source/Type

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Description
D Few Potential for Harm Complaint Quality of Life and Care Deficiencies: Provide appropriate treatment and care according to orders, resident's preferences and goals.

February 4, 2021 - 2 years ago

Residents Affected Severity Source/Type

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Description
D Few Potential for Harm Complaint Quality of Life and Care Deficiencies: Provide care and assistance to perform activities of daily living for any resident who is unable.
D Few Potential for Harm Complaint Quality of Life and Care Deficiencies: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D Few Potential for Harm Complaint Nursing and Physician Services Deficiencies: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

January 18, 2021 - 2 years ago

Residents Affected Severity Source/Type

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Description
- - - Fine $975 fine

January 11, 2021 - 2 years ago

Residents Affected Severity Source/Type

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Description
- - - Fine $650 fine

November 24, 2020 - 2 years ago

Residents Affected Severity Source/Type

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Description
F Many Potential for Harm Complaint+Inspection Infection Control Deficiencies: Provide and implement an infection prevention and control program.
E Some Potential for Harm Complaint+Inspection Quality of Life and Care Deficiencies: Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

November 3, 2020 - 2 years ago

Residents Affected Severity Source/Type

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Description
- - - Fine $13,000 fine
E Some Potential for Harm Complaint+Inspection Infection Control Deficiencies: Provide and implement an infection prevention and control program.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Continuing Healthcare Of Cuyahoga Falls require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 40min
2hr 10min
Reported Expected
CNA
45min
50min
Reported Expected
LPN
30min
30min
Reported Expected
RN
2hr 55min
3hr 25min
Reported Expected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Staffing Turnover

Turnover is the percent of staff that stop working in a facility within a given year. Lower is better because staff that work at a facility for longer periods may be more familiar with the residents and procedures of the facility.

70.8% 58.0% 53.3%
This Facility OH US
Total Nursing Staff Turnover
72.7% 56.6% 51.9%
This Facility OH US
RN Turnover
2 0.8 0.7
This Facility OH US
Administrators Who Have Left

Quality Measures for Long Stay Residents

98.9%
98.9%
98.9%
75.0%
93.5%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine

61.2%
71.6%
97.0%
81.7%
90.6%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine

62.1%
50.0%
-
57.1%
42.6%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

* The data for this facility for some quarters is unavailable.

Percentage of low risk long-stay residents who lose control of their bowels or bladder

24.1%
22.0%
22.4%
22.1%
22.4%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of long-stay residents who received an antianxiety or hypnotic medication

24.8%
28.1%
69.1%
12.4%
16.3%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of long-stay residents whose ability to move independently worsened

20.8%
20.8%
29.2%
32.1%
14.9%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of long-stay residents whose need for help with daily activities has increased

15.3%
16.9%
17.9%
19.0%
13.2%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of long-stay residents who received an antipsychotic medication

6.1%
2.0%
9.6%
5.2%
7.6%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of high risk long-stay residents with pressure ulcers

4.5%
6.3%
3.2%
3.0%
20.2%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of long-stay residents who have depressive symptoms

3.6%
11.9%
11.1%
10.6%
6.6%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of long-stay residents who lose too much weight

7.5%
6.0%
3.0%
4.2%
3.7%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of long-stay residents experiencing one or more falls with major injury

9.1%
0.0%
0.0%
0.0%
1.7%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of long-stay residents with a urinary tract infection

1.6%
1.5%
1.7%
0.0%
1.0%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of long-stay residents with a catheter inserted and left in their bladder

0.0%
0.0%
0.0%
0.0%
0.1%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

34.8%
27.9%
39.2%
18.2%
75.0%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine

51.5%
51.5%
51.5%
24.6%
71.5%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine

69.4%
-
-
-
75.2%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

* The data for this facility for some quarters is unavailable.

Percentage of short-stay residents who made improvements in function

5.7%
4.8%
9.5%
12.5%
1.8%
Q2 2021 Q3 2021 Q4 2021 Q1 2022 OH

Percentage of short-stay residents who newly received an antipsychotic medication

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